Colby J Cockrell DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60023798 Issued in WA

Legal business name

COLBY J COCKRELL DMD PLLC

Practice address

504 Union Ave SE
Olympia, WA 98501-1429

Phone

(360) 943-6331

Fax

(360) 943-2293

NPI assigned

Aug 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Colby J Cockrell, DMD

Title

Owner

Phone

(360) 943-6331

Specialties & licenses 1

Addresses

Other names 1

• Capital City Family Dentistry Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James C Cockrell, D.D.S.

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1366410870
  NPD (past)
• Lori Ann Noga, DMD

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1891989455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1982918983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2525",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985072525",
            "telephone_number": "360-943-6331",
            "fax_number": "360-943-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 UNION AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011429",
            "telephone_number": "360-943-6331",
            "fax_number": "360-943-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY J COCKRELL DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-943-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60023798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital City Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aparecida Coelho-Duarte
• Jakob Coffelt, DC
• Kristen Coffelt, DC
• Julie Christine Colaw, PT
• Lanaia Renee Colbert, M.A.
• Junalyn-Gabrielle Cole
• Kristen Cole
• Gabrielle Coleman
• Matthew Alexander Coleman
• Scott D Coleman

• Dental Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.